Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $25.12 / $151.36	Facility		$8.91	$25.12	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $10.47	Professional		$6.03	$7.94	$10.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $6.17	Professional		$5.37	$5.37	$6.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $14.45 / $21.88	Professional		$6.61	$14.45	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.50 / $40.74	Facility		$8.71	$19.50	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.71 / $13.49	Professional		$5.75	$8.71	$13.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.47 / $10.00	Professional		$3.55	$4.47	$10.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9,549.93 / $25,118.86	Facility		$8.91	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.13 / $10.00	Professional		$7.76	$8.13	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $8.91 / $18.20	Facility		$4.17	$8.91	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.37 / $12.88	Professional		$3.55	$5.37	$12.88